{"title":"远程picu信息亭作为标准监测和护理的辅助：一项开放标签随机对照试验。","authors":"Harleen Kaur, Lokesh Kumar Tiwari, Pradeep Kumar, Arun Prasad","doi":"10.1007/s13312-025-00197-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine whether using videoconferencing for pediatric intensive care unit (PICU) rounds with the help of a tele-PICU kiosk in addition to standard care impacts survival outcomes and duration of hospital stay.</p><p><strong>Methods: </strong>An open-label randomized controlled trial was conducted in the PICU of a tertiary care center in India on a sample size of 120 children, randomized into two groups using computer-generated randomization tables. Patients with a PICU stay of < 24 h were excluded. The intervention group received tele-rounds using the tele-PICU kiosk daily for the first 3 days or discharge, whichever was earlier, in addition to standard care, while the control group received standard care. Consultation feedback was given to the treating team. Both groups were followed-up for survival outcome at the time of hospital discharge and 60 days after discharge.</p><p><strong>Results: </strong>The intervention group had better patient survival at the time of discharge [51 (85%) vs. 41 (68.3%), P = 0.031; RR 2.63 (95%CI 1.07-6.42)] and at 60 days after hospital discharge [49 (81.7%) vs. 38 (63.3%), P = 0.025; RR 2.58 (95% CI 1.11-5.96)]. The intervention group had a significantly shorter duration of hospital stay [8 (5, 13) vs. 13 (7, 21) days, P = 0.044) and PICU stay [1.5 (1, 8) vs. 4 (1, 15) days; P = 0.045). The median cost difference shows a reduction in direct cost, but it could not achieve statistical significance.</p><p><strong>Conclusion: </strong>Tele-rounds using tele-PICU kiosk as an adjunct to standard care showed better survival, reduced duration of hospital and PICU stay, and reduced cost trends for children admitted to the PICU.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Tele-PICU Kiosk as an Adjunct to Standard Monitoring and Care: An Open-Label Randomized Controlled Trial.\",\"authors\":\"Harleen Kaur, Lokesh Kumar Tiwari, Pradeep Kumar, Arun Prasad\",\"doi\":\"10.1007/s13312-025-00197-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to determine whether using videoconferencing for pediatric intensive care unit (PICU) rounds with the help of a tele-PICU kiosk in addition to standard care impacts survival outcomes and duration of hospital stay.</p><p><strong>Methods: </strong>An open-label randomized controlled trial was conducted in the PICU of a tertiary care center in India on a sample size of 120 children, randomized into two groups using computer-generated randomization tables. Patients with a PICU stay of < 24 h were excluded. The intervention group received tele-rounds using the tele-PICU kiosk daily for the first 3 days or discharge, whichever was earlier, in addition to standard care, while the control group received standard care. Consultation feedback was given to the treating team. Both groups were followed-up for survival outcome at the time of hospital discharge and 60 days after discharge.</p><p><strong>Results: </strong>The intervention group had better patient survival at the time of discharge [51 (85%) vs. 41 (68.3%), P = 0.031; RR 2.63 (95%CI 1.07-6.42)] and at 60 days after hospital discharge [49 (81.7%) vs. 38 (63.3%), P = 0.025; RR 2.58 (95% CI 1.11-5.96)]. The intervention group had a significantly shorter duration of hospital stay [8 (5, 13) vs. 13 (7, 21) days, P = 0.044) and PICU stay [1.5 (1, 8) vs. 4 (1, 15) days; P = 0.045). The median cost difference shows a reduction in direct cost, but it could not achieve statistical significance.</p><p><strong>Conclusion: </strong>Tele-rounds using tele-PICU kiosk as an adjunct to standard care showed better survival, reduced duration of hospital and PICU stay, and reduced cost trends for children admitted to the PICU.</p>\",\"PeriodicalId\":13291,\"journal\":{\"name\":\"Indian pediatrics\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-10-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s13312-025-00197-0\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s13312-025-00197-0","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
Tele-PICU Kiosk as an Adjunct to Standard Monitoring and Care: An Open-Label Randomized Controlled Trial.
Objective: This study aimed to determine whether using videoconferencing for pediatric intensive care unit (PICU) rounds with the help of a tele-PICU kiosk in addition to standard care impacts survival outcomes and duration of hospital stay.
Methods: An open-label randomized controlled trial was conducted in the PICU of a tertiary care center in India on a sample size of 120 children, randomized into two groups using computer-generated randomization tables. Patients with a PICU stay of < 24 h were excluded. The intervention group received tele-rounds using the tele-PICU kiosk daily for the first 3 days or discharge, whichever was earlier, in addition to standard care, while the control group received standard care. Consultation feedback was given to the treating team. Both groups were followed-up for survival outcome at the time of hospital discharge and 60 days after discharge.
Results: The intervention group had better patient survival at the time of discharge [51 (85%) vs. 41 (68.3%), P = 0.031; RR 2.63 (95%CI 1.07-6.42)] and at 60 days after hospital discharge [49 (81.7%) vs. 38 (63.3%), P = 0.025; RR 2.58 (95% CI 1.11-5.96)]. The intervention group had a significantly shorter duration of hospital stay [8 (5, 13) vs. 13 (7, 21) days, P = 0.044) and PICU stay [1.5 (1, 8) vs. 4 (1, 15) days; P = 0.045). The median cost difference shows a reduction in direct cost, but it could not achieve statistical significance.
Conclusion: Tele-rounds using tele-PICU kiosk as an adjunct to standard care showed better survival, reduced duration of hospital and PICU stay, and reduced cost trends for children admitted to the PICU.
期刊介绍：
The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are:
-To publish original, relevant, well researched peer reviewed articles on issues related to child health.
-To provide continuing education to support informed clinical decisions and research.
-To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics.
-To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
